Comparison of the effect of endoscopic surgery and routine cervical approach in the treatment of benign thyroid tumors / 中国现代普通外科进展

ABSTRACT

Objective:To compare the therapeutic effects of endoscopic surgery and routine neck surgery on benign thyroid tumors.Methods:From August 2014 to August 2016,240 patients with benign thyroid tumor were treated by operation in Zoucheng people's hospital,according to the random number method,they were divided into the observation group and the control group,120 cases in each group.According tothepatient's willingness to choose the choice of operation,the control group was performed the routine thyroid operation on the neck approach,and the observation group underwent endoscopic thyroidectomy through the breast approach.The two groups of surgical indexes,postoperative complications,and thyroid related hormone levels before and after the operation were compared.Results:The operation time of the observation group was significantly longer than that of the control group,but the amount of bleeding and the time of hospitalization in the operation were significantly shorter than those in the control group,the difference was statistically significant (P＜0.05).The incidence of cervical sensory decline,dysphagia and pain in the observation group was significantly lower than that in the control group,and the total incidence of complications was also lower than that in the control group(P＜0.05).The levels of FT3,T4 and TSH after the operation in the two groups were significantly lower than those before the operation,while the level of FT4 was significantly higher than that before the operation (P＜0.05).There was no significant difference in the levels of FT3,FT4,T4 and TSH after the operation between the two groups before and after the operation (P＜0.05).Conclusion:Endoscopic surgery for the treatment of thyroid benign tumors is better,less traumatic,and more beautiful.